RN Acute Care Unit

Cary Medical Center•Caribou, ME

About The Position

Cary Medical Center is hiring a Registered Nurse for its Acute Care Unit. The RN delivers quality nursing care in accordance with ANA Standards of Clinical Practice and the Maine Nurse Practice Act, while supporting the organization’s vision and mission. The role uses knowledge of patients’ ages, cultures, and learning needs to provide care, meet organizational and unit requirements, and promote a collaborative, cooperative environment focused on customer service. The position is full-time, 36 hours per week, on a day schedule from 7 a.m. to 7 p.m. It is classified as non-exempt. The listed pay range is $34.50–$50.54 per hour; starting pay depends on factors including experience, education, certifications, internal equity, and market conditions. Depending on staffing needs, the nurse may be asked to work nights, weekends, and holidays.

Requirements

Active, valid Maine RN license.
Meet the unit’s annual competency training requirements.
Obtain BLS certification within six months and maintain it thereafter.
Complete the Basic Cardiac Course within one year of hire to the department.
After successfully completing the Basic Cardiac Course, obtain ACLS certification within six months and maintain it thereafter.
Demonstrate competence in nursing assessment, diagnosis, planning, implementation, and evaluation.
Demonstrate leadership skills and teamwork.
Promote patient advocacy and support the learning needs of staff and students.
Collaborate with other disciplines to support effective, efficient patient care and desired patient outcomes.
Availability to work nights, weekends, and holidays may be requested depending on department staffing needs.

Responsibilities

Complete admission assessments and identify actual and potential health problems, including documenting functional and cognitive status within eight hours of admission.
Complete prompt and adequate nursing assessments for assigned patients, generally within one hour, to support safety and continuity of care.
Verify medication lists and review allergies upon admission.
Continuously assess patient responses to illness and interventions, apply critical thinking, and document completely and accurately.
Use telemetry and camera systems effectively; interpret clinical and diagnostic data, recognize significant abnormalities, and expedite appropriate interventions.
Prioritize patient needs and document care provided.
Initiate an individualized problem list within 24 hours of admission and update it as patient needs and goals change.
Update the patient care plan, Braden assessment, and fall-risk flowsheet within one hour of the start of the shift.
Support multidisciplinary care planning; communicate and document interactions with the case manager and other disciplines regarding patient needs, problems, and responses to interventions.
Deliver care according to nursing standards and hospital policy, using critical thinking, nursing knowledge, and sound judgment.
Complete medically ordered interventions, clarify questionable orders promptly, and collaborate with the charge RN or supervisor when clarification is needed.
Review and update Medact routinely.
Participate in Interdisciplinary Team meetings.
Safely administer medications and IV therapy according to nursing standards and hospital policy, observe and document patient responses, and provide site care as required.
Recognize adverse or critical changes in patient condition and initiate appropriate interventions; provide supportive care until help or orders arrive.
Use the paging and fire alarm systems correctly and function as an effective member of the code team unless medically exempt.
Respect patients’ rights and privacy, treat patients with respect and compassion, and ensure informed consent before procedures while evaluating patient understanding and concerns in light of age, culture, and life stage.
Use Docushare to access policies, procedures, physician privileges, and related information.
Comply with local, state, and federal laws and regulations.
Perform other work-related duties as assigned.